| Dr David R Fulp, MD | |
|
100 Sentara Cir, Rm 2c, Williamsburg, VA 23188-5713 | |
| (757) 984-7218 | |
| (757) 984-7210 |
| Full Name | Dr David R Fulp |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 100 Sentara Cir, Williamsburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992713549 | NPI | - | NPPES |
| 005857571 | Medicaid | VA | |
| 39379 | Other | VA | SENTARA |
| 139607 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101034453 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 0101034453 (Virginia) | Primary |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David R Fulp, MD 100 Sentara Cir, Rm 2c, Williamsburg, VA 23188-5713 Ph: (757) 984-7218 | Dr David R Fulp, MD 100 Sentara Cir, Rm 2c, Williamsburg, VA 23188-5713 Ph: (757) 984-7218 |
Susan Marie Lessner-boesler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Oak Holw, Williamsburg, VA 23188 Phone: 757-206-6595 | |
Dr. Stephen Grimes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 Monticello Ave, Williamsburg, VA 23185 Phone: 757-259-6000 | |
Chelsea Veronica Laber, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 Sentara Cir Ste 201a, Williamsburg, VA 23188 Phone: 757-984-3975 | |
Thomas Camp, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Sentara Cir, Williamsburg, VA 23188 Phone: 757-984-6000 | |
Dr. Emma K. Burch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2200 | |
David I Cohen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2250 Fax: 757-903-2285 | |
Samuel Anthony John Tabacchi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2000 |